While there are many causes of infertility, a blockage of the fallopian tubes is often the reason why many women are unable to conceive. The fallopian tubes are the pathways in which the ova travel from the ovaries down into the uterus, and if there is a blockage in these tubes it can prevent this from occurring. The fallopian tubes can sometimes become blocked or even damaged due to certain conditions that a woman may suffer from. In rare cases, the blockage to the fallopian tubes may have been present since birth as a birth defect, but has gone undetected until the woman reached adulthood and tried to conceive.

Dr Ria Malik and Dr Smita Vats are two of the best gynaecologists who are trained in treatment of blockage in fallopian tubes which leads to infertility. They have experience in performing HSG, Hysteroscopy and Tubal Recanalization surgery. Dr Ria Malik was associated with Lady Hardinge Hospital New Delhi and AIIMS New Delhi before joining GNH wheras Dr Smita Vats was associated with Artemis Hospital and Paras Hospital Gurgaon prior to joining GNH Hospital Gurgaon Delhi India. They have combined experience of more than 24 years.

There are different types of fallopian tube blockages. Because the fallopian tubes have different parts and are a tube, there may be different parts of the tube blocked. Each section has its own name.

Proximal tubal occlusion involves the isthmus. This can occur after infection such as complications from abortion, missed miscarriage, cesarean section or PID. Permanent birth control procedures like Essure block the isthmus.Mid-segment tubal obstruction of the ampullary is most often due to tubal ligation damage. Tubal ligation is a surgical procedure to permanently prevent pregnancy. Some women who have had tubal ligation change their mind later in life and choose to have this procedure reversed. This can be done surgically and has a 75% pregnancy success rate.Distal tubal occlusion is the type of blockage that affects the part of the fallopian tube end towards the ovary. This type of blockage is typically associated with hydrosalpinx. Hydrosalpinx is often caused by Chlamydia trachomatis infection, which is a sexually transmitted disease. Untreated Chlamydia is known to cause both pelvic and fallopian tube adhesions.

Endometriosis and Fibroid tumors are both conditions which are becoming present in more women every year.Pelvic inflammatory disease is another common condition which women suffer from. Pelvic inflammatory disease or PID, is an umbrella term for a number of different problems that create an inflammatory infection in the female reproductive system. All of these conditions can cause blockage to the fallopian tubes by having adhesions, scar tissue, tumors or polyps form inside the path of the tube. Partially damaged fallopian tubes may remain open enough for pregnancy to occur, but a partial blockage increases the risk for ectopic pregnancy. The fallopian tubes are very thin to begin with, it does not take much for them to become blocked, preventing the ova from traveling through.

Salpingectomy -
This procedure is the removal of part of the fallopian tube. This is commonly performed for hydrosalpinx prior to IVF. Salpingostomy -
This procedure is performed when the end of the fallopian tube is blocked by hydrosalpinx. The surgeon creates a new opening in the fallopian tube entrance nearest the ovary. Selective tubal cannulation -
This procedure is performed for proximal tubal occlusion (where the tube meets the uterus). Guided by hysteroscopy or fluoroscopy, doctors insert a catheter through the cervix, uterus and into the fallopian tube. This is a non-surgical procedure that has a 60% pregnancy success rate. Tubal ligation removal, known as tubal reanastomosis Reversal of a tubal ligation is a surgical procedure that is done with the assistance of a microscope and is generally performed in a hospital setting or outpatient surgical facility. The surgeon removes the portion of the fallopian tube that was tied or cauterized in the original surgery and reattaches the two ends to make a complete tube. This procedure has a 75% pregnancy success rate.

Pregnancy

Pregnancy is one of the most beautiful moment in a woman's life. At Kilkari Centre at GNH Hospital we have facility for Normal, Caesarean and High Risk Delivery read more

Fibroid

Fibroids are mass in uterus. They may be benign or malignant. They can be treated through medicine or surgerydepending upon their size read more

Ovarian Cyst

Ovarian cysts are fluid-filled sacs or pockets within or on the surface of an ovary. Many women have ovarian cysts at some time during their lives. The majority of ovarian cysts disappear without treatment within a few months but some may need treatment through medicine or surgery read more

Dr Smita Vats

Dr Smita Vats is an experienced gynaecologist. She is trained in all types of deliveries and gynae surgeries like fibroid, ovarian cyst. She was previously working with Artemis Hospital Gurgaon and Sir Gangaram Hospital New Delhi. read more

Dr Nidhi Agarwal

Dr Nidhi Agarwal has special interest in obstetrics like normal delivery, caesarean delivery, high risk deliveries and MTP. She is also experienced in treating various female problems like PCOD, infertility irregular periods read more

Dr Ria Malik

Dr Ria Malik is an experienced gynaecologist and gynae laparoscopic surgeon. She has trained in various surgeries like fibroids, ovarian cyst, hysterectomy, tubal blockage etc. Her other interest is in preventive gynae oncology read more

Dr Rahul Yadav

Dr Rahul Yadav is one of the best and highly educated paediatrician with vast experience in treating problems related to new born, toddlers and children. read more

Myomectomy

Myomectomy is the surgery for removal of uterine fibroid. The surgery can be performed either through abdominal incision or laparoscopic method. The type of surgery depends upon the size of fibroid and its location read more

Hysterectomy

There are conditions like mass in uterus, ovarian cancer, endometriosis, or very large fibroid in uterus doctor may advise you hysterectomy which may be partial or total. read more

Laparoscopic Ovarian Cyst Surgery

Ovarian Cysts are of many types. Some of the cyst like follicular cyst may disappear by themselves however other cysts presenting symptoms may need medication or surgery for treatment read more